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Presentation

Patient Data

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Axial lung window

Chest:

Enlarged mediastinal nodes in the right paratracheal and pretracheal regions.

Cluster of centrilobular nodules in the antero-inferior right middle lobe with branching opacities consistent with tree-in-bud pattern. Several other small scattered subpleural nodules in the medial right upper lobe and lateral right middle lobe.

Left lung is clear.

Abdomen:

Extensive ascites with enhancing wall. Stranding within the adjacent fat most noticeable in the left abdomen.

No small or large bowel obstruction. No bowel wall thickening. Normal appendix. Unremarkable appearances of the solid organs.